Mayo Arai Kennedy, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30809 Issued in CA

Practice address

2170 N Winery Ave
Fresno, CA 93703-2884

Phone

(559) 216-0125

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mann Assessments & Psychotherapy Inc

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1548999022

  Psychologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1730800970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 N WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032884",
            "telephone_number": "559-216-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 N WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032884",
            "telephone_number": "559-216-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MAYO",
        "middle_name": "ARAI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3078",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kendall
• Elizabeth Kenerly
• Ashley Kennedy
• Jesse Kennard Kennedy, LCSW
• Judith Mary Kennedy, MA
• Genevieve Kennerley, FNP-C
• Kenneth S. Masumoto DDS Inc
• Brenda Paulette Kent, LMFT
• David Swords Kent, LCSW
• Jennifer Elizabeth Kent, PHARMD

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.